Case Presentation: Patient is a 71 year old female with hypertension and chronic obstructive pulmonary disease who presented after syncopal episodes and falls. She denied chest pain but did have lightheadedness and shortness of breath (SOB). She was started on transcutaneous pacing by EMS due to severe bradycardia. Admission EKG (fig 1) showed 3rd degree [...]

Case Presentation: A 21-year-old previously healthy female with no known medical history was brought in by ambulance from a rave party with concerns for being pale, tremulous and diaphoretic. She reportedly had consumed three shots of alcohol, marijuana, and two unknown pills. On exam she was noted to be non-interactive, febrile to 104F, and with [...]

Case Presentation: Case 1:A 55 year-old woman with a history of myasthenia gravis presented to with symptoms of double vision. She was also complaining of palpitations, weight loss, sweating, and insomnia. She was diagnosed with myasthenic flare, and she was treated with prednisone. The patient continued to have symptoms, so she was referred to an [...]